Healthcare Provider Details

I. General information

NPI: 1992669808
Provider Name (Legal Business Name): FAMILY GROWTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18335 BREATHEDSVILLE RD
BOONSBORO MD
21713-1957
US

IV. Provider business mailing address

18335 BREATHEDSVILLE RD
BOONSBORO MD
21713-1957
US

V. Phone/Fax

Practice location:
  • Phone: 240-382-0803
  • Fax:
Mailing address:
  • Phone: 240-382-0803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CHELSI RIFFE
Title or Position: OWNER/THERAPIST
Credential: LCSW-C
Phone: 240-382-0803